Provider Demographics
NPI:1285975938
Name:BAYNES, LASHANNA CHRISTINE (LPN)
Entity type:Individual
Prefix:MRS
First Name:LASHANNA
Middle Name:CHRISTINE
Last Name:BAYNES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 ONA LN
Mailing Address - Street 2:
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-6440
Mailing Address - Country:US
Mailing Address - Phone:845-591-0996
Mailing Address - Fax:845-562-5850
Practice Address - Street 1:45 ONA LN
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-6440
Practice Address - Country:US
Practice Address - Phone:845-591-0996
Practice Address - Fax:845-562-5850
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303163-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse